SearchMaine225XP0200X

Nicole Keniston

NPI 1598338154 · on the registry since 2021 · sole proprietor

Practice

Address
152 Us-1
Scarborough, ME 04074
Phone
(207) 883-5882

Additional practice sites

  • 146 State House Sta, Augusta, ME

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Also registered as
225X00000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine